JACKSON EDWARD MASSANELLI MD
NPI 1184201592
Pediatrics in Pearland, TX

Q: What is Jackson Massanelli's NPI number?

The NPI number for Jackson Massanelli is 1184201592. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Q: What is Jackson Massanelli's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since March 24, 2021

2017 BROADWAY ST, PEARLAND, TX 77581(281) 485-9990(281) 485-9469 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2025, Mar 24, 2021 (2 updates tracked since 2021).

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About Jackson Edward Massanelli Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON EDWARD MASSANELLI MD (NPI 1184201592) is an individual pediatrics provider in Pearland, Texas, licensed in Texas (U9595) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1184201592

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJACKSON EDWARD MASSANELLICredential: MD

Location Address2017 BROADWAY STPearland, TX 77581-5501

Mailing Address1 Baylor Plz # Bcm320Houston, TX 77030-3411 · (832) 824-1170 · Fax (832) 825-6497

Phone(281) 485-9990

Fax(281) 485-9469

Sole ProprietorNo

Enumeration DateMarch 24, 2021

Last NPPES UpdateJuly 18, 20252 updates tracked since enumeration

NPPES CertifiedJuly 18, 2025

✔ NPI 1184201592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · U9595

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2017 BROADWAY ST, Pearland, TX 77581

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRAD ALAN ONHAIZER MD

Pediatrics